Clean Up Finger Fracture Coding With This S62.6- Documentation Primer

Fri, Jun 22, 2018


ICD-10 coding for finger fracture

ICD-10-CM 2019 is swapping the term “medial phalanx” to “middle phalanx” in 10 finger fracture codes. It’s a simple change, but it’s a reminder of the various factors involved in fracture coding. To help your orthopedic coding and documentation keep up with ICD-10-CM specificity, here’s a documentation checklist to help you find the right code for finger fractures fast under S62.6- (Fracture of other and unspecified finger(s)).

5th Character: Identify Phalanx and Whether Fracture Is Displaced

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Start Using These 7 PLA Oncology Codes on July 1, 2018

Mon, Jun 18, 2018


proprietary laboratory analyses codes

We’ve been on a roll with coding updates lately, so let’s keep that momentum going! The July 2018 updates are bringing changes for Proprietary Laboratory Analyses (PLA) CPT® codes. The codes won’t be published in the printed manual until 2019, but the updates are effective July 1, 2018.

Seven of the 17 new codes are specific to oncology, and we’ll focus on those. Below are the proprietary names and clinical labs/manufacturers as well as the short descriptors, with a little …

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Even More Tips to Get ICD-10-CM 2019 Update Prep Rolling (Part 2)

Fri, Jun 15, 2018


ICD-10-CM 2019 updates

Our coverage of ICD-10-CM 2019 updates continues here! In Part 1, you read about diagnosis coding for everything from eyelid disorders to urethral strictures. But there’s more to learn, so let’s keep going!

Keep in mind: Below are just some of the highlights from the new code set, not a complete listing. Plus, the codes we’re discussing here are the preliminary ICD-10-CM 2019 updates from the CDC and CMS. The final list …

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Breaking News: Get an ICD-10-CM 2019 Overview (Part 1)

Wed, Jun 13, 2018


ICD-10-CM 2019 updates

The preliminary ICD-10-CM 2019 code list shows roughly 280 new reportable codes and about 170 revisions. As you check into the 2019 diagnosis code changes, here are some trends and highlights to be alert for. (Watch for more coverage of the 2019 ICD-10-CM updates in the next post.)

Remember: This is a preliminary list. The final list may change before you start using the 2019 codes for dates of service Oct. 1, 2018, and later. You can check out the complete early list of 2019 updates on the CMS and <...

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Cataract Claims Double Dipped? These RACs Are Checking

Fri, Jun 8, 2018


correct coding for cataract removal

If you perform cataract removal services in RAC regions 1, 2, or 3, be on alert. Coding and unit errors are under the spotlight. Here’s the scoop.

What & Where: Learn the RACs and Regions Involved

RACs Cotiviti Healthcare and Performant have both posted the following as approved audit issues:

  • 0083 – Cataract Removal Excessive Units – Partial Denial
  • 0084 – Cataract Removal Excessive Units – Full Denial.

Cotiviti lists these issues for region 2 extending from Texas up to Minnesota (J5, J6, JH) and region 3 …

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2019 Updates on the Horizon: See What’s Coming for ICD-10-PCS

Tue, Jun 5, 2018


2019 inpatient ICD-10-PCS new codes

You may have noticed 2019 ICD-10-PCS changes already posted on your TCI SuperCoder Coding Tools page, if that’s your medical coding software. (2019 … whoa!) Let’s check out the trends in the new 2019 ICD-10-PCS codes for inpatient reporting.

The numbers: There are 392 new codes, eight revised titles, and 216 deleted codes, according to the ICD-10-PCS FY 2019 Update Summary posted by CMS. That’s a net gain, going from 78,705 codes in 2018 to …

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Prep Time! July 2018 MPFS Updates Bring More Than RVU Changes

Fri, Jun 1, 2018


July 2018 MPFS update

We’re a month away from the July 2018 Medicare Physician Fee Schedule (MPFS) update. These quarterly changes are easy to overlook, but checking any fee schedule update is important. Even if, for some reason, you’re not interested in RVU changes, there may be changes to indicators (like PC/TC) that affect proper reporting. Here are some areas to watch for the July 2018 MPFS changes related to already existing codes.

Note: Instead of the usual July 1, Medicare lists the implementation date for these changes as July 2, 2018, a Monday, so that’s when payers are required to implement the changes.

Jump on G0511 and G0512 Changes for RHCs …

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TCI SuperCoder’s Data Files Offer Quarterly Updates, Official Info, & More

Wed, May 30, 2018


If your job is to deliver accurate medical coding data fast, you know the consequences to your revenue if you don’t choose a reliable source for data files. Don’t take chances! With TCI SuperCoder’s Data Files, you get up-to-date data, customizable to your specific needs. Our quality-focused teams make sure the files are easy to integrate into your existing systems, which reduces downtime and helps prevent claim submission delays.

Tip: Ask about quarterly update options to ensure you have current data from Medicare, official code sets, and TCI’s own coder-designed resources. Check out the info below, and then contact our data file specialist Abbey at 239-280-4236 or …

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3 Times Anesthesia Coders Should NOT Report +99140

Tue, May 29, 2018


anesthesia qualifying circumstances codes

When a payer reimburses for +99140 (Anesthesia complicated by emergency conditions (specify) …), you don’t want to miss legitimate opportunities to report that code. But knowing what qualifies as emergency conditions is a common stumbling block. Don’t let these three common pitfalls ruin your anesthesia coding accuracy.

1. When Delay Is Documented for the ‘Emergency’

According to CPT® guidelines with +99140, “An emergency is defined as existing when delay in treatment of the patient would lead to a significant increase in the threat to life or body part.” To support reporting +99140, documentation should include the specific …

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3 ICD-10-CM Cardiology Coding Tips That Line Up With the Risk-Adjustment Trend

Fri, May 25, 2018


All the discussions of risk adjustment have put a spotlight on diagnosis coding, and one big way cardiology coders can help is by ensuring they follow the official rules for coding and learn about coding comorbidities, too. Here are some good, old-fashioned rules that will also help ensure your pro-fee cardiology coding follows best practices and is ready to support proper payment in the future.

1. Understand the Role of Comorbidities

For risk adjustment, a simplified explanation is that a patient’s health status and spending are considered in relation to outcomes and costs. So a patient with diagnosis X …

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